Parathyroid Plab Tawm

Zoo Siab

• Kev tshem tawm lub qog parathyroid yog dab tsi?
• Vim li cas kuv thiaj li xav tau tshem tawm cov mob caj pas (parathyroid gland)?
• Cov tsos mob ntawm hypercalcemia
• Hom mob parathyroid caj pas tshem tawm kev phais
• Xov tooj cua qhia kev parathyroidectomy
• Video-pab rau parathyroidectomy (tseem hu ua endoscopic parathyroidectomy)
• Npaj kev phais mob
• Kev phom sij ntawm kev phais mob
• Tom qab phais

Kev tshem tawm lub qog parathyroid yog dab tsi?

Parathyroid caj pas muaj plaub daim ntawm ib tug neeg uas yog tus me thiab puag ncig. Lawv tau txuas rau tom qab ntawm cov thyroid caj pas hauv koj lub caj dab. Cov qog no yog ib feem ntawm cov kab mob endocrine. Koj qhov system endocrine ua khoom thiab tswj cov tshuaj hormones uas cuam tshuam rau koj txoj kev loj hlob, kev txhim kho, lub cev ua haujlwm, thiab lub mus ob peb vas.

Parathyroid qog tswj cov nyiaj calcium uas hauv koj cov ntshav. Thaum cov qib calcium nyob hauv koj cov ntshav tsawg, cov qog no tso cov parathyroid hormone (PTH), uas siv cov calcium los ntawm koj cov pob txha.

Parathyroid gland kev tshem tawm yog hais txog ib hom kev phais mob ua kom tshem tau cov qog no. Nws tseem muaj lub npe hu ua parathyroidectomy. Qhov kev phais mob no yuav raug siv yog tias koj cov ntshav muaj calcium ntau nyob hauv. Qhov no yog ib qho mob uas hu ua hypercalcemia.

Vim li cas kuv thiaj li xav tau tshem tawm cov mob caj pas (parathyroid gland)?

Hypercalcemia tshwm sim thaum cov ntshav calcium calcium ntshav siab heev. Qhov feem ntau yuav ua rau hypercalcemia yog kev ua haujlwm dhau ntawm PTH hauv ib lossis ntau lub qog parathyroid. Nov yog ib daim ntawv ntawm hyperparathyroidism hu ua thawj hyperparathyroidism. Thawj hyperparathyroidism yog ob zaug ntau dua rau cov poj niam uas nws yog tus txiv neej. Feem ntau cov neeg muaj tus mob hyperthyroidism thawj zaug muaj hnub nyoog tshaj li 45 xyoos. Qhov nruab nrab hnub nyoog ntawm kev kuaj mob yog kwv yees li 65 xyoo.

Koj kuj tseem xav tau tshem tawm cov mob caj pas (parathyroid gland) yog tias koj muaj:

• cov qog hu ua adenomas, uas feem ntau ua mob me thiab feem ntau tig mus ua mob cancer
• mob qog lossis ua rau cov qog
• parathyroid hyperplasia, ib qho mob uas tag nrho plaub ntawm cov kab mob parathyroid qog.

Cov tshuaj calcium ntshav siab tuaj yeem nce ntxiv txawm tias tsuas muaj ib lub qog raug cuam tshuam. Tsuas yog ib qho parathyroid caj pas muaj kev koom tes txog li 80 rau 85 feem pua ​​ntawm cov neeg mob.

Cov tsos mob ntawm hypercalcemia

Cov tsos mob tuaj yeem ua dhau los thaum ntxov ntawm hypercalcemia. Raws li cov mob zuj zus, koj yuav muaj:

• nkees
• kev nyuaj siab
• mob ib ce
• ib tug poob ntawm qab los noj mov
• xeev siab
• ntuav
• nqhis dej ntau dhau
• nquag tso zis
• mob plab
• cem quav
• leeg tsis muaj zog
• tsis meej pem
• raum pob zeb
• pob txha lov

Cov neeg uas tsis muaj cov tsos mob tsuas yog xav tau kev soj ntsuam. Cov mob me yuav tuaj yeem tswj tau mob. Txawm li cas los xij, yog tias hypercalcemia vim yog thawj hyperparathyroidism, tsuas yog kev phais mob uas tshem tawm cov kabmob parathyroid caj pas (s) yuav kho tau.

Cov teeb meem loj tshaj plaws ntawm hypercalcemia yog:

• raum tsis ua hauj lwm
• ntshav siab
• arrhythmia
• mob rau cov hlab ntshav
• ib lub plawv mob dav
• atherosclerosis (hlab ntsha nrog calcified rog cov quav uas ua tawv thiab tsis ua hauj lwm)

Qhov no tuaj yeem vim qhov ua rau cov calcium hauv cov hlab ntsha thiab lub plawv tso cia.

Hom mob parathyroid caj pas tshem tawm kev phais

Muaj ntau txoj hauv kev los nrhiav thiab tshem cov mob qog ntshav parathyroid.

Hauv cov txheej txheem ib txwm, koj tus kws phais mob tshawb nrhiav txhua plaub lub qog pom kom pom cov mob thiab cov uas yuav tsum tau muab tshem tawm. Qhov no hu ua kev tshawb nrhiav caj dab ntawm ob sab. Koj tus kws phais mob ua lub phais hauv nruab nrab kom qis ntawm koj lub caj dab. Qee zaum, tus kws phais yuav tshem tawm ob lub qog ntawm ib sab.

Yog tias koj muaj duab uas qhia tsuas yog ib lub qog ua ntej ua ntej kev phais mob, koj yuav tau muaj qhov mob caj dab uas tsawg tshaj plaws nrog kev phais me me (tsawg dua 1 nti hauv ntev). Piv txwv ntawm cov tswv yim uas yuav siv tau thaum phais mob no, uas yuav xav tau kev phais me me ntxiv, suav nrog:

Xov tooj cua qhia kev parathyroidectomy

Hauv xov tooj cua qhia txog parathyroidectomy, koj tus kws phais siv cov khoom siv hluav taws xob uas txhua plaub cov qog parathyroid yuav nqus tau. Kev sojntsuam tshwj xeeb tuaj yeem nrhiav lub hauv paus ntawm hluav taws xob los ntawm txhua lub qog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txheeb xyuas qhov chaw parathyroid caj pas (s). Yog tias tsuas muaj ib lossis ob qho ntawm tib sab mob kis mob, koj tus kws phais yuav tsum tau txiav me me kom tshem cov qog mob.

Video-pab rau parathyroidectomy (tseem hu ua endoscopic parathyroidectomy)

Hauv cov vis dis aus-pab parathyroidectomy, koj tus kws phais siv lub koob yees duab me me ntawm daim duab endoscope. Nrog rau txoj hauv kev no, koj tus kws phais yuav ua ob lossis peb txoj kev phais me me rau lub tshuab tsom pob qij txha thiab phais phais hauv ob sab caj dab thiab ib qho phais sab saud lub qog. Qhov no minimizes scarring pom.

Txoj kev tuag tes tuag taw uas siv tsawg mus ua rau kev rov zoo sai dua. Txawm li cas los xij, yog tias tsis muaj tag nrho cov qog uas muaj kab mob pom thiab tshem tawm, cov calcium uas siab yuav tau txuas ntxiv mus, thiab yuav muaj kev xav phais zaum ob.

Cov neeg muaj parathyroid hyperplasia (cuam tshuam rau tag nrho plaub lub qog) feem ntau yuav muaj peb thiab ib nrab cov kab mob parathyroid tshem tawm. Tus kws phais yuav tawm cov ntaub so ntswg ntxiv kom tswj tau cov ntshav calcium ntau ntau. Txawm li cas los xij, qee kis, parathyroid caj pas cov ntaub so ntswg uas yuav tsum tau nyob hauv lub cev yuav raug tshem tawm ntawm thaj chaw caj dab thiab cog rau hauv qhov chaw nkag, zoo li forearm, nyob rau hauv rooj plaub nws yuav tsum tau muab tshem tawm tom qab.

Npaj kev phais mob

Koj yuav tsum tau tsum tsis txhob noj tshuaj uas cuam tshuam rau lub peev xwm ntawm cov ntshav txhaws li ib lis piam ua ntej kev phais mob. Cov no suav nrog:

• tshuaj aspirin
• clopidogrel
• ibuprofen (Advil)
• naproxen (Aleve)
• warfarin

Koj tus kws kho mob loog yuav tshuaj xyuas koj keeb kwm kev kho mob nrog koj thiab txiav txim seb yuav siv tshuaj loog siv dab tsi. Koj yuav tsum tau yoo mov ua ntej kev phais mob.

Kev phom sij ntawm kev phais mob

Cov kev pheej hmoo ntawm kev phais no feem ntau suav nrog cov kev pheej hmoo uas cuam tshuam nrog lwm yam kev phais. Ua ntej, kev siv tshuaj loog dav dav tuaj yeem ua rau ua pa nyuaj thiab ua xua lossis lwm yam kev phiv tshuaj rau cov tshuaj uas tau siv. Zoo li lwm yam kev phais mob, los ntshav thiab kis tus kab mob kuj puav leej yog tau.

Cov kev pheej hmoo los ntawm qhov kev phais tshwj xeeb suav nrog kev raug mob rau cov thyroid caj pas thiab lub paj hlwb hauv caj dab uas tswj cov hlua nkauj. Muaj qee zaus, koj yuav muaj teeb meem ua pa. Cov no feem ntau yuav ploj mus ob peb lub lis piam lossis ntau hlis tom qab kev phais.

Cov ntshav calcium cov qib ntshav feem ntau poob qis tom qab qhov kev phais no. Thaum cov ntshav theem cov calcium qis dhau, qhov no hu ua hypocalcemia. Thaum qhov no tshwm sim, koj yuav hnov ​​yoov lossis ntiv tes hauv cov ntiv tes, ntiv taw, lossis daim di ncauj. Qhov no yog yooj yim tiv thaiv lossis kho nrog cov tshuaj calcium, thiab tus mob no sai sai rau cov tshuaj. Nws ib txwm tsis yog mus tas li.

Koj kuj tseem tuaj yeem txiav txim siab mus cuag kws paub txog kev phais mob txhawm rau txhawm rau txo kev pheej hmoo. Cov kws phais neeg uas ua haujlwm tsawg kawg 50 parathyroidectomies ib xyoos yog suav tias yog kws txawj. Tus kws tshaj lij yuav ua rau muaj qis tshaj plaws ntawm cov teeb meem phais mob. Tseem, nws yog ib qho tseem ceeb kom nco ntsoov tias tsis muaj kev phais mob tuaj yeem lav tias yuav muaj kev phom sij kiag li.

Tom qab phais

Koj tuaj yeem rov qab mus tsev tib hnub uas raug phais lossis siv sijhawm hmo ntuj hauv tsev khomob. Feem ntau muaj qee qhov xav tias yuav mob lossis qhov tsis xis nyob tom qab kev phais mob, xws li mob caj pas. Feem ntau ntawm cov neeg tuaj yeem rov qab mus rau lawv cov kev ua ub no nyob rau ib hlis lossis ob hlis, tab sis nws tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus.

Raws li kev ceev faj, koj cov ntshav calcium thiab qib PTH yuav raug saib xyuas tsawg kawg yog rau lub hlis tom qab kev phais. Koj tuaj yeem noj tshuaj ntxiv rau ib xyoos tom qab kev phais mob los rov kho cov pob txha uas tau nyiag ntawm calcium.